Shirley Joanne Sanders, NURSE PRACTITIONER | |
3203 Middle Road, Columbus, IN 47203-4427 | |
(812) 373-2700 | |
(812) 373-2710 |
Full Name | Shirley Joanne Sanders |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 3203 Middle Road, Columbus, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1558329292 | NPI | - | NPPES |
000000990928 | Other | IN | ANTHEM PIN |
054962P | Other | IN | SIHO |
201085480 | Medicaid | IN | |
500011512 | Other | IN | MEDICARE RAILROAD |
71000212 | Other | IN | IN NP LINCENSE |
1407861164 | Other | GROUP NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 71000212 (Indiana) | Primary |
Entity Name | Cristo Rey Community Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407800931 PECOS PAC ID: 2365345576 Enrollment ID: O20040830000021 |
Mailing Address | Practice Location Address |
---|---|
Shirley Joanne Sanders, NURSE PRACTITIONER 806 Jackson St, Columbus, IN 47201-6264 Ph: (812) 748-3412 | Shirley Joanne Sanders, NURSE PRACTITIONER 3203 Middle Road, Columbus, IN 47203-4427 Ph: (812) 373-2700 |
Carrie Butcher, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2423 N National Rd, Columbus, IN 47201 Phone: 812-372-7804 | |
Tatiana D. Doran, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2502 25th St, Columbus, IN 47201 Phone: 812-372-8883 Fax: 812-372-8964 | |
Samantha Grider, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2325 18th St Ste 220, Columbus, IN 47201 Phone: 812-376-5640 | |
Carolyn Behling, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2325 18th St Ste 130, Columbus, IN 47201 Phone: 812-379-2020 | |
Mrs. Diane Kaye Hirtzel, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 720 N Marr Rd Ste A, Columbus, IN 47201 Phone: 812-314-3400 | |
Shelley L Clark, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 815 Schnier St, Columbus, IN 47201 Phone: 812-376-5780 Fax: 812-376-5781 | |
Denise Neawedde, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2118 25th St Ste J, Columbus, IN 47201 Phone: 812-375-3660 |